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CONNOR BUSHYHEAD
NPI 1659131084
Licensed Practical Nurse in Shawnee, OK

Active since March 21, 2024
1420 N HARRISON AVE, SHAWNEE, OK 74801(405) 424-7711 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connor Bushyhead NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR BUSHYHEAD (NPI 1659131084) is an individual licensed practical nurse in Shawnee, Oklahoma, licensed in Oklahoma (L0066904) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1659131084
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCONNOR BUSHYHEAD
Location Address1420 N HARRISON AVEShawnee, OK 74801-5208
Mailing Address1108 Skyview DrEl Reno, OK 73036-2026
Phone(405) 424-7711
Sole ProprietorNo
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1659131084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OK · L0066904
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1420 N HARRISON AVE, Shawnee, OK 74801
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRI TRUSS
Case Manager/Care Coordinator
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 214-4777
CARLYNN MARTIN
Registered Nurse
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
ERNEST LARRY SEGO III
Peer Specialist
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 214-4777
LYDIA HOBIA
Registered Nurse
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
DANIEL RYAN SKELLY
Registered Nurse
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-7100
MRS. HEATHER ELISE TIMM
Counselor (Professional)
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
MARY MELISSA JENNINGS
Licensed Practical Nurse
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
ANDREW HOSKINS
Case Manager/Care Coordinator
1420 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Bushyhead's NPI number?

The NPI number for Connor Bushyhead is 1659131084. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Connor Bushyhead located?

Connor Bushyhead practices at 1420 N Harrison Ave, Shawnee, OK 74801. The listed phone number is (405) 424-7711.

What is Connor Bushyhead's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Connor Bushyhead was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.